International Journal of Research in Orthopaedics | November-December 2020 | Vol 6 | Issue 6 Page 1233
International Journal of Research in Orthopaedics
Das A et al. Int J Res Orthop. 2020 Nov;6(6):1233-1238
http://www.ijoro.org
Original Research Article
Functional outcome of arthroscopic Bankart repair in post-traumatic
recurrent shoulder dislocation in a private tertiary care teaching
hospital in eastern India
Ayon Das
1
, Subhrojyoti Bhowmick
2
, Nikhilesh Das
1
, Swarnendu Samanta
1
,
Somnath De
1
, Sayan Das
3
*
INTRODUCTION
The shoulder is the most commonly dislocated joint in the
body, because of its relative lack of bony limitations and
extensive range of motion.
1
The glenohumeral joint
requires a stable pivot for keeping the upper extremity at a
wider arc of a circle in the three-dimensional plane. The
special orientation of the shoulder provides the
glenohumeral joint with a high degree of mobility at the
cost of stability.
ABSTRACT
Background: Recurrent anterior shoulder dislocations are quite common in young patients with Bankart lesions. The
open Bankart repair was the gold standard for years, however arthroscopic Bankart repair has gained popularity. The
aim of the study was to evaluate the functional results of arthroscopic Bankart repair in patients with post-traumatic
recurrent anterior glenohumeral instability.
Methods: Patients who underwent arthroscopic Bankart repair for post-traumatic recurrent anterior shoulder dislocation
were included in the study. This was a prospective study conducted at a tertiary care Hospital in Kolkata, India between
August 2017 to May 2019. All patients were followed up at an interval of 2 weeks, 6 weeks, 12 weeks, 6 months, 9
months and 1 year. Rowe score was used to assess the functional outcomes of the patients.
Results: 34 (91.9%) patients reported good to excellent results, whereas only 2 (5.4%) patients had fair outcome and 1
(2.7%) patient demonstrated poor surgical result. The total rowe score improved from 46.62 pre-operatively to 94.20
post-operatively after 1 year (p<0.01). By the end of 1-year follow-up, 35 (94.6%) patients had full range of motion in
all the planes. Majority of (89.2%) patients did not have any complications. Only 1 patient out of 37 had a recurrence
(2.7%).
Conclusion: Arthroscopic Bankart repair is an effective, cosmetic and safe surgical procedure with good clinical
outcomes and excellent post-operative shoulder range of motion. This surgical intervention also has low recurrence rate
and minimum surgical complications.
Keywords: Bankart repair, Arthroscopy, Shoulder dislocation, Shoulder surgery, Recurrent shoulder injury, Shoulder
instability
1
Department of Orthopaedics, Peerless Hospital & B.K. Roy Research Centre, Kolkata, West Bengal, India
2
Department of Academics, Quality & Research, Peerless Hospital & B.K. Roy Research Centre,
Kolkata, West Bengal, India
3
Department of Pharmacology, Dr. D.Y. Patil Medical College, Hospital & Research Centre, Pune, Maharashtra, India
Received: 01 August 2020
Accepted: 16 September 2020
*Correspondence:
Dr. Sayan Das,
E-mail: doc.sayan.das@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20204590